, it starts as of today. centers for medicare and medicaid services as of today going forward infiscal year 2013, about two-thirds of all the hospitals who have patients that rely on medicare for their services are going to get a fine of some sort, and it could be as high as 1% of medicare funds that they receive depending on the number of patients who are readmitted to the hospital for these procedures; heart failure, heart attack and pneumonia. now, there's a 30-day window. if a patient is readmitted within that 30-day period and the rate of readmissions at any particular hospital is greater than the national average -- ashley: right, right. >> constantly fluctuating, then you could see this fine up to 1% this year, 2% next fiscal year, 2014, 3% in 2015. going to save about $290 million according to centers for medicare and medicaid services this year -- ashley: this is like penalizing hospitals who are being readmitted too soon -- >> above the national average. now, the hospitals are saying, look, some of these patients are not following the instructions. ashley: right, right. >> if you'